PROJECT
Reaching Every Child with Immunization Services
In the heart of the Busoga Region, a quiet but powerful transformation is taking place. Between June and November 2025, the Busoga Awareness and Community Health Initiative (BACHI) launched a strategic offensive against one of public health’s toughest challenges: reaching "zero-dose" children.


Funded by GAVI-PATH-MoH
Project cost: UGX 281,430,033
AREAS OF IMPLEMENTATION
The project focuses on the Busoga Region, specifically targeting five districts characterized by high clusters of zero-dose children:
- Districts: Jinja City, Jinja District, Mayuge, Bugiri, and Namayingo.
- Scope: Activities are implemented at both district headquarters and sub-county levels to ensure grassroots penetration.
- Field Presence: Four dedicated Project Officers are stationed across these districts to coordinate localized interventions.
KEY ACHIEVEMENTS (JUNE – NOV 2025)
BACHI has successfully met 100% of its planned process targets for the implementation period:
- Governance & Entry: Completed 5 district-level entry meetings and 10 quarterly performance reviews at the sub-county level.
- Community Structure: Oriented 200 VHTs/CHEWs on registration and profiling; established 5 ACSM Committees (Advocacy, Communication, and Social Mobilization).
- Stakeholder Engagement: * Held 10 engagement meetings on gender-related barriers (achieving a 50:50 male-to-female participation ratio).
- Conducted 5 orientation meetings for influential cultural and religious leaders.
- Behavioral Change: Completed 20 targeted dialogues (10 with faith leaders and 10 with vaccination-opposed households) using the “Channels of Hope” model to debunk myths.
IMPACT AND REACH
The project has translated community mobilization into measurable public health gains:
- Target Reach:
- Zero-Dose Children (ZDC): Actively targeting and profiling 1,501 children who have never received a vaccine.
- Under-Immunized Children (UIC): Targeting 2,702 children to complete their immunization schedules.
- Immunization Coverage Performance:
- DPT 1 Coverage: Achieved an average of 89.3% across the 5 districts.
- DPT 3 Coverage: Strong performance reaching 92.0% of the target.
- MR1 (Measles-Rubella) Coverage: Reached 84.6% cumulative progress.
- Digital Accuracy: Successfully migrated tracking to the KOBO Collect tool, allowing for real-time identification and follow-up of zero-dose households, ensuring data-driven decision-making.
Summary Table: District-Level Impact
| Indicator | Jinja City | Namayingo | Mayuge | Bugiri | Jinja Dist |
| DPT 1 Progress | 100% | 115% | 89% | 71% | 71% |
| Status | Completed | Exceeded | On Track | Improving | Improving |